肺癌早期：腫塊標記異常與治療效果-腫瘤科

肺腺癌一期 腫瘤標記異常？

醫生你好這是我媽咪那時候的病理報告NOMED:28000-B-M81403,29000-B-M09450DX:Lung, right middle lobe, wedge resection----- Invasive acinar adenocarcinoma, moderately differentiated (G2)AJCC 8TH Pathological stage: IA1 (pT1a Nx)(also referring to S2022=92488)Pleura, right middle lobe, wedge resection----- Negative for malignancyGROSS D:The specimen consists of a wedge resection of right middle lung, measuring3.0 x 2.2 x 1.5 cm and weighing 2.7 gm. The surface shows focal retractionand fibrosis. It had been open and a tumor measuring 0.6 x 0.3 x 0.3 cmlocated at 0.6 cm beneath the pleura and 0.6 cm from resection ends. Thetumor is ill-defined and appears whitish and solid.All for sections and labeled as: 1: tumor; 2-3: non-tumor lung tissue.MICRO D:Procedure: Wedge resectionSynchronous Tumors: Not applicableTumor Site: Right middle lobeTumor Size (also referring to S2022=92488):Total tumor size: 1.0 x 0.8 x 0.6 cmInvasive tumor size: 0.8 x 0.6 x 0.6 cmTumor Focality: Single focusHistologic Type: Invasive acinar adenocarcinomaPercentage of each components: Lepidic (40 %), Acinar (60 %)Histologic Grade:Moderately differentiated (G2)Margin:All margins negative for invasive carcinomaDistance of invasive carcinoma from closest margin: 0.6 cm(Specify closest margin: parenchymal resection margin)Direct invasion of adjacent structures:Not applicable (No adjacent structures present)Visceral pleural invasion:The tumor does not invade the visceral pleura (PL0).Lymphovascular invasion: Not identifiedPerinerual invasion: Not identifiedSpread through air spaces (STAS): Not identifiedMICRO D(Cont):Treatment Effect: No known presurgical treatmentLymph node: No lymph node submittedNon-tumor Parenchyma:The non-tumorous parenchyma does not show significant pathologicalchange.Pathologic Stagining (pTNM)Primary tumor (pT)pT1a: Tumor ＜=1 cm or less in greatest dimensionRegional lymph node (pN)pN not assigned (no nodes submitted or found)Distant metastasis (pM)Not applicable - pM cannot be determined from the submitted specimen(s)Pathological stage: IA1 (pT1a Nx) (AJCC 8th)Additional pathological findings: Lymphocytic infiltration打字員：病理醫師：李沛航尚有報告： 病解專醫字：第0610 號今年的CTIndication: lung ca s/p lobectomy for follow-up studyThis imaging study has been compared with previous CT on 2023/06/12.Chest CT without and with IV contrast enhancement study shows:Techniques:From lower neck to diaphragmatic level in 3-mm contiguous section forpreenhanced and enhanced CTCoronal (3mm) and sagittal (5mm) reconstruction performedImaging findings:s/p RML wedge resection.Stable tiny RUL, RML, RLL nodules (＜3mm)Blebs up to 14mm in the both lungNo definite pneumothorax.No definite pleural effusion.No definite pericardial effusion.No definite enlargement of mediastinal LNs.No definite adrenal mass.No definite enlarged lymph nodes noted in the upper retroperitoneumImpression:* s/p RML wedge resection* Stable tiny RUL, RML, RLL nodules (＜3mm)但公司健康檢查加做CEA 1.56 每次回診都有做都正常CA-125 25.7CA153 12.3CA199 12.3Cyfea21-1 4.11 大於標準3.3 (第一次測)原本醫生預計10月回診，請問我該先帶我媽咪回門診嗎?會是復發嗎，好擔心請你幫我解惑，謝謝